TNP Trauma Nursing Process
Rienforces a systemic and standardized approach to trauma nursing care and skills using an intergeated approach to trauma
... [Show More] teamwork, communication and collabration
Trauma
Leading cause of death ages 1-44 approx one person every 3 min
brief
Planned teamwork event designated to form a team, designate team roles and responsibilities, establish climate goals, and engage in team short and long term goals
huddle
Ideally convened prior to trauma arrival for the purpose of solving a problem and regaining situational awareness
Debrief
to explain the purposes and methods of a completed procedure to a participant
trauma
wound or injury to living tissue caused by a extrinsic agent
laws of physics
When the intensity of the applied energy exceeds the capacity of tissue resistance, trauma occurs
kinetic energy
energy of motion
Biomechanics
The science concerned with the internal and external forces acting on the human body and the effects produced by these forces.
Kinematics
study of pure motion
mechanical energy
How external energy forces in the environment are transferred to the body
Newton's first law of motion
Explains that a body at rest will remain at rest and a body in motion will remain in motion unless acted by an object
Newton's Second Law
Force = mass x acceleration
Newton's Third Law
For every action force there is an equal and opposite reaction force resulting
kinetic energy
energy of body in motion
penetrating trauma
injury caused by an object that passes through the skin or other body tissues
Bullet related trauma
...
Thermal Trauma
An injury that results in the burning or freezing of tissues
blast trauma
Occurs when energy in the form of light heat and sound is released rapidly
Rollover collisions with ejection
Ejection from the vehicle significantly increases the probability of fatal injury
kenetic energy KE
Speed increases energy by the square of the velocity and can influence the extent of injury.
Velocity and KE are positively correlated with destruction
KE increases velocity, although velocity is relative it is the projectile KE that causes damage by transferring energy to the tissue
Cavitation
The formation of cavities in an organ or tissue
Explosion in an enclosed space
Increase in pressure relative to the explosion that occurs in open environment, the increases pressure compounds the blast effects and potentially increases internal and external injury severity
Primary Survey A
Across the room assessment for uncontrolled bleeding, Airway and alertness with simultaneous cervical stabilization
Primary Survey B
Breathing and ventilation
Primary Survey C
circulation and control of bleeding
Primary survey D
Disability (neurological status)
Primary Survey E
Exposure and environmental control
Primary survey F
Full set of vitals and family presence
Primary Survey g
Get monitoring devices and give comfort
Secondary survey H
History & head to toe assessment
Secondary survey I
Inspect posterior surfaces
Secondary Survey J
Just keep reevaluating A-I
Secondary Survey L
Labs T&S ABG lactate
Secondary survey M
Monitor for cardiac rhythm and rate assessment
Secondary survey N
Nasogastric or orogastic tube consideration [Show Less]